Comments on: HIStalk Practice Interviews Glen Tullman http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/ Physician practice and systems news and opinion Sat, 04 Feb 2012 20:34:20 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: The Future is here http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/comment-page-1/#comment-762 The Future is here Sun, 15 Nov 2009 00:21:41 +0000 http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/#comment-762 Glen says he wants to see the day when "There’s no training involved ...". Unfortunately, he's already there, but he just missed the "intuitive software" part. That's the biggest problem with most of the EHR companies ... they think it's about the technology and so they skimp on training, when it's really about practice transformation. Sorry, Glen, you can't transform a practice from India, even if you call it a "center of excellence". Glen says he wants to see the day when “There’s no training involved …”. Unfortunately, he’s already there, but he just missed the “intuitive software” part. That’s the biggest problem with most of the EHR companies … they think it’s about the technology and so they skimp on training, when it’s really about practice transformation. Sorry, Glen, you can’t transform a practice from India, even if you call it a “center of excellence”.

]]> By: Maia Thompson http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/comment-page-1/#comment-761 Maia Thompson Fri, 13 Nov 2009 16:22:31 +0000 http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/#comment-761 Are there less expensive options than Allscripts? Of course. Glen Tullman points out something that most of us are wondering - how can 200+ EMR vendors possibly stay in business? We're going to see a consolidation/failure akin to the banking system... the small players just won't have enough market share to keep the necessary R&D resources in place to ensure interoperability and connectivity. As it stands now, most of the little guys are basically standalone systems. I shudder to think how many physicians will try to choose the least expensive system to qualify for the stimulus, and end up with a HUGE mess with a bankrupt vendor and trying to deal with converting clinical information. We've seen tons of ambulatory PM systems "sunsetted" by even major vendors, and there's no reason to think this isn't going to happen on the clinical side as well. Converting demographics is one thing, converting clinical is something most vendors won't touch for liability purposes. So perhaps some cheaper systems have better usability in some cases, the reality is they'll never get enough traction to stay in the game (I would exclude e-MDs from this though... I'm thinking more along the lines of the no-name vendors that haven't been CCHIT certified since 2006). Even if a little vendors had only 100 practices - what is going to happen to those practices when the vendor goes belly up and the practice can't see patients for 1-3 + months? It's a HUGE business risk that I don't think most practices are taking seriously enough when choosing an EMR and vendor. Are there less expensive options than Allscripts? Of course. Glen Tullman points out something that most of us are wondering – how can 200+ EMR vendors possibly stay in business? We’re going to see a consolidation/failure akin to the banking system… the small players just won’t have enough market share to keep the necessary R&D resources in place to ensure interoperability and connectivity. As it stands now, most of the little guys are basically standalone systems. I shudder to think how many physicians will try to choose the least expensive system to qualify for the stimulus, and end up with a HUGE mess with a bankrupt vendor and trying to deal with converting clinical information. We’ve seen tons of ambulatory PM systems “sunsetted” by even major vendors, and there’s no reason to think this isn’t going to happen on the clinical side as well.

Converting demographics is one thing, converting clinical is something most vendors won’t touch for liability purposes. So perhaps some cheaper systems have better usability in some cases, the reality is they’ll never get enough traction to stay in the game (I would exclude e-MDs from this though… I’m thinking more along the lines of the no-name vendors that haven’t been CCHIT certified since 2006). Even if a little vendors had only 100 practices – what is going to happen to those practices when the vendor goes belly up and the practice can’t see patients for 1-3 + months? It’s a HUGE business risk that I don’t think most practices are taking seriously enough when choosing an EMR and vendor.

]]> By: Al Borges MD http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/comment-page-1/#comment-760 Al Borges MD Fri, 13 Nov 2009 08:00:30 +0000 http://www.histalkpractice.com/2009/11/12/histalk-practice-interviews-glen-tullman/#comment-760 What happened in the recent aafp survey of 2012 physicians that showed that in the area of usability both of Allscript products were trounced by the likes of much less expensive AC and e-MDs? Al What happened in the recent aafp survey of 2012 physicians that showed that in the area of usability both of Allscript products were trounced by the likes of much less expensive AC and e-MDs?

Al

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